TRAE PERRY

IDAHO FALLS, ID
NPI1265809016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP - 2790)
Enumeration Date2015-08-27
Last Update Date2015-08-27
Business Address
-- TRAE PERRY M.S. CCC - SLP
2377 CORONADO ST
IDAHO FALLS, ID 83404-7440
Phone number: 208-535-1286
Mailing Address
-- TRAE PERRY M.S. CCC - SLP
3069 DISNEY DR
IDAHO FALLS, ID 83404-7320
Phone number: 208-690-9821